CC BY 4.0 · European J Pediatr Surg Rep 2019; 07(01): e28-e31
DOI: 10.1055/s-0039-1692407
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Possible Approach to Esophageal Lung with Long Tracheobronchial Gap

Martina Ichino
1  Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy
,
Lorenza Pugni
2  Department of Neonatal Intensive Care Unit, Fondazione IRCCS “Ca' Granda” Ospedale Maggiore Policlinico, Milano, Italy
,
Andrea Zanini
1  Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy
,
Anna Morandi
1  Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy
,
Fabio Mosca
1  Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy
,
Francesco Macchini
1  Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy
› Author Affiliations
Further Information

Publication History

13 December 2018

28 April 2019

Publication Date:
17 June 2019 (online)

  

Abstract

Esophageal lung is a rare bronchopulmonary foregut malformation characterized by an anomalous origin of one of the main bronchi which arises from the esophagus. Less than 30 cases are reported in the literature. Therefore, there are no standardized guidelines for the treatment of this condition. We report a case of right esophageal lung diagnosed in a neonate. The patient was treated with thoracoscopic closure of the ectopic main bronchus in the neonatal period, followed by delayed pneumonectomy at 5 months of age. No prosthetic substitute was implanted in the ipsilateral hemithorax after pneumonectomy. The patient is now 4 years old and doing well, postpneumonectomy syndrome was never observed. Our strategy and the possible alternatives are discussed here.